Previous Soul Ripples
My family’s story in Soul Ripples (Bookstand Publishing, 2019) was the story seeking to understand my family. The stories of faith, healing, mental and physical health challenges, community, love, belonging and making choices of one path over another. One does not need to have read the previous book to enjoy this one, but it will flesh out the journey to this point.
The broad strokes are simple. It started in 2013 with a hand tremor that a walk in clinic doctor suggested I drink more water. By May 2016 and October 2016 a series of mysterious strokes, and seizures led me to visit the Peter Lougheed Centre of the Calgary General Hospital’s Emergency Room. After fighting with on-site staff that I was not a Fentanyl addict overdosing, testing showed that everything was normal. A few days of convalescence at home and I was back at work.
There was a progression of physical and emotional fatigue following the October 2016 visit, but always another person to help, another home to begin building with those in life recovery exiting homelessness. On July 1, 2017 I would suffer several events that would take my family out of our usual Canada Day Celebrations in the Village of Rosemary, Alberta.
By my 39th Birthday of that year, August 15, I would begin daily visits to the Emergency Room for unexplained seizure activity, white frothy vomit, tremoring left arm, pain in my skull, fatigue, and horrific flashbacks to name but a few. My wife, Shawna, would capture a video of an episode the first night there that would cause a panic, but again nothing was found.
Within a week of visits, a nurse who was a former student of mine would advocate that I was not a frequent flyer who needed Naloxone, but there was something seriously wrong. I would be placed on Keppra and booked in for a referral to Neurology. I kept tracking the events, the symptoms, and my flashbacks…rush of emotions and mosaics of the events I had been a participant in over 20 years of trying to discover how to love my neighbour, and responding not to the code or commodity before me, but the person.
Early EEG’s would show wildfire like Epileptic sparking activity, and I would be raised to the highest dose of Keppra possible, one that should have left me not very functional. Yet I kept trucking along.
By October 4, 2017 I had finally crashed and burned at work. My last contact before the call in being an instance of workplace bullying, my boss the next morning we spoke as I had left a simple cracking voice mail message simply, “I can’t” as I cried after an overnight of multiple seizures and night terrors. I would first go on short term disability through Employment Insurance, before accessing the Long Term Disability as I was not improving.
The neurology unit at the Peter Lougheed did the best they could, but my case was complex. I was referred to the Epilepsy Centre at the Foothills Medical Centre. Where looking at my reports, and the question was raised what was happening. I was put in the queue to have an in-patient observation done which would finally happen in the first week of September 2018 at the South Health Campus.
A week of observation captured many types of my seizure events from full body, to eye rolling, to arm tremor, to head shaking while I was wired in to the EEG the whole time. I left the unit without any medications and began the journey of detoxing from the Keppra in my system. Still having around 1-9 seizures a day (down from my time working when it was between 40-60 seizures a day).
In November I would get my results, after hearing that it was a huge discussion within Epileptologists about what was happening with my brain. To simply take the EEG’s or to factor in my history to come to a firm diagnosis about what the next steps would be.
The next steps?
A diagnosis of Psychogenic Non-Epileptic Seizures (PNES), probably caused by Post-Traumatic Stress Disorder which led to a referral to the psychotherapy portion of the Epilepsy Centre, that is two PhD psychologists trained to work with PNES and Epilepsy whether occurring separately or co-occurring.
Psychogenic Non-Epileptic Seizures (PNES):
Seizures that are not related to Epilepsy. All the same challenges and fears from fall to sudden death, yet not treatable by any anti-epileptic or anti-convulsion medications. Mine were triggered by PTSD. Treatment is psychotherapy. |
Post-Traumatic Stress Disorder (PTSD)[1]:
What used to be called Shell Shock.
•Moved into a mental health diagnosis.
•Questions still remained about why some treatments worked and others did not.
•Recently, studies have shown there is 3 main types:
1. Traumatic Brain Injury (formerly shell shock)-the physical damage to the brain
2. Mental health
3. Both combined
For a diagnosis these must be present for at least a month, 1 from each category:
•At least one re-experiencing symptom: flashbacks, frightening thoughts, bad dreams
•At least one avoidance symptom: staying away from places, objects or events that are reminders of traumatic events; avoiding thoughts or feelings related to events.
•At least two arousal and reactivity symptoms: angry outbursts, feeling tense or on edge, difficulty sleeping, easily startled.
•At least two cognition and mood symptoms: trouble remembering key features of event, negative thoughts about oneself or the world, distorted feelings of loss or guilt, loss of interest in enjoyable activities
Some factors that increase risk for PTSD include:
•Living through dangerous events and traumas
•Getting hurt
•Seeing another person hurt, or seeing a dead body
•Childhood trauma
•Feeling horror, helplessness, or extreme fear
•Having little or no social support after the event
•Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss
[1] All generalities of mental health diagnosis are derived from the Diagnostic and Statistical Manual V (DSM-V).
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On February 14, 2019 I began the journey of rewiring my brain. This is the story of discovery and healing. It is as the Hear O’ Israel prayer states the Shema as phrased by Brother Jesus. My whole life had been centered on loving my neighbour, now it was time to authentically discover how to love myself.